Socially Aversive Personality and the symptoms of Body Dysmorphic Disorder in the Korean Young Adult population

Introduction Body dysmorphic disorder (BDD) is defined in DSM5 as a preoccupation with one or more perceived defects or flaws in physical appearance causing significant distress or impairment in social and occupational functioning. Despite many studies on mental health disorders related to BDD, the diagnosis is still frequently overlooked. Objectives Previous studies have examined the general personality characteristics of BDD. The objective of this study is to find out how socially aversive personality traits are related. Methods Total of 86 mentally and physically healthy adults participated. BDD was assessed by BDDE-SR, and aversive personality was assessed by Short Dark Triad (SD3: Machiavellianism, narcissism, psychopathy), Assessment of Sadistic Personality (ASP), and paranoid (PAR), borderline (BOR), and antisocial (ANT) features of the clinical subscales of Personality Assessment Inventory(PAI). Correlations between the reported scores were investigated using Pearson’s and regression was performed on relevant scales. Results Thirty seven males and 49 females (mean age 23.8 years) showed no statistically significant difference in total BDDE-SR was reported based on sex(p=0.18) or BMI(underweight, normal, overweight, p=0.236). BDDE-SR, SD3 and ASP were not statistically correlated, but all of the subscales of PAR(PAR-H, PAR-P, PAR-R), BOR(BOR-A, BOR-I, BOR-N, BOR-S) and ANT(ANT-A, ANT-E, ANT-S) were associated with BDDE-SR. Regression results demonstrated in Table 1 show that BOR-I and PAR-R predict BDDE-SR. Correlation of BOR-I and PAR-R with BDDE-SR factors was shown in Table 2.Table 1. Hierarchical multiple linear regression analysis for BOR-I, PAR-R in predicting BDD symptoms B SE beta t R² ΔR² F Sig. Model 1 BOR-I 2.812 0.547 0.491 5.140 .241 .232 26.421 .001 Model 2 BOR-I 2.317 0.568 0.405 4.080 .294 .277 6.073 .016 PAR-R 1.387 0.563 0.245 2.464 Table 2. Correlation between BDDE Total, five BDDE factors and BOR-I and PAR-R Variable BDDE Total Factor 1 Factor 2 Factor 3 Factor 4 Factor 5 BOR-I BOR-I .489** .469** .370** .440** .317** .352** PAR-R .388** .311** .366** .307** .302** .387** .354** Note.** p<0.01; Factor 1 : preoccupation, distress and embarrassment; Factor 2 : avoidance; Factor 3 : checking, comparing and camouflaging; Factor 4 : dissatisfaction; Factor 5 : importance; BOR-I : identity problem of borderline traits; PAR-R : resentment of paranoid traits Conclusions This study shows that BDD symptoms are associated with borderline-identity problems and paranoia-resentment and suggests that we should consider the diagnosis of BDD for individuals with high BOR and PAR scores. Disclosure of Interest None Declared

Introduction: Attention Deficit/Hyperactivity Disorder (ADHD) and Borderline Personality Disorder (BPD) have several similarities and it is difficult to distinguish these disorders in adolescents. Objectives: We aimed to identify the unique correlates of mentalization abilities that may distinguish these two disorders, and to investigate the mentalization abilities of adolescents with ADHD, BPD and ADHDþBPD in an inpatient sample (n=550) to determine the effect of co-morbidity on mentalization abilities. Methods: We have explored the relationship between Child Eye Test (CET) scores, Movie for the Assessment of Social Cognition (MASC) subscales, and ADHD and BPD symptoms in adolescent inpatients. In addition, we compared ADHD, BPD and ADHDþBPD groups in terms of their mentalization abilities. Results: Correct MASC scores were negatively associated with both ADHD and BPD symptoms in girls, and negatively associated with ADHD symptoms in boys. In addition, hypermentalization scores were associated with BPD symptoms in girls, and hypomentalization and no mentalization scores were associated with ADHD symptoms in girls. CET scores were negatively associated with ADHD symptoms in girls, but no relations with BPD were found. Group comparisons revealed no significant difference among groups. Conclusions: We found that while ADHD symptoms are related to hypomentalization, BPD symptoms are rather related to hypermentalization. We believe that these findings make significant contributions to literature aimed at understanding the differences between two disorders which have great commonalities in terms of clinical appearance and developmental course. Introduction: Body dysmorphic disorder (BDD) is defined in DSM5 as a preoccupation with one or more perceived defects or flaws in physical appearance causing significant distress or impairment in social and occupational functioning. Despite many studies on mental health disorders related to BDD, the diagnosis is still frequently overlooked. Objectives: Previous studies have examined the general personality characteristics of BDD. The objective of this study is to find out how socially aversive personality traits are related. Methods: Total of 86 mentally and physically healthy adults participated. BDD was assessed by BDDE-SR, and aversive personality was assessed by Short Dark Triad (SD3: Machiavellianism, narcissism, psychopathy), Assessment of Sadistic Personality (ASP), and paranoid (PAR), borderline (BOR), and antisocial (ANT) features of the clinical subscales of Personality Assessment Inventory(PAI). Correlations between the reported scores were investigated using Pearson's and regression was performed on relevant scales. Results: Thirty seven males and 49 females (mean age 23.8 years) showed no statistically significant difference in total BDDE-SR was reported based on sex(p=0.18) or BMI (underweight, normal, overweight, p=0.236). BDDE-SR, SD3 and ASP were not statistically correlated, but all of the subscales of PAR(PAR-H, PAR-P, PAR-R), BOR(BOR-A, BOR-I, BOR-N, BOR-S) and ANT(ANT-A, ANT-E, ANT-S) were associated with BDDE-SR. Regression results demonstrated in Table 1 show that BOR-I and PAR-R predict BDDE-SR. Correlation of BOR-I and PAR-R with BDDE-SR factors was shown in Table 2.
Conclusions: This study shows that BDD symptoms are associated with borderline-identity problems and paranoia-resentment and suggests that we should consider the diagnosis of BDD for individuals with high BOR and PAR scores. Introduction: The present time is characterized by the instability of society, the authoritarian state, social insecurity, and the events of the global pandemic. One of the main properties of modernity is the continuous nature of the social changes taking place in it. Social uncertainty, instability and social insecurity complicate the usual strategy for constructing ideas about the world around us. In connection with certain factors, events in a person's life can be defined as significant.
Objectives: The purpose of this study was to ckeck the fact that important life events are something associated with stress and have a negative emotional connotation. Methods: The methodological basis of the research was the qualitative study: semi-structured interviews, including projective techniques (case and content analysis) were carried out. N = 50 residents of Russia and Austria, age 16-65.

Results:
The hypothesis about important life events was completely confirmed. It turned out that important life events were described by the respondents mainly as negative, that is, in most cases (more than 70% of the total number of answers), important events were associated as something associated with stress, having a negative emotional connotation. It is interesting that mentions of joyful and happy events were much less frequent than negative ones, while there were practically no descriptions of the experience of vivid emotions accompanying any long-awaited events. At the same time, important events are quite extensively associated with stress and critical emotional experiences, often with mental problems: "shock", "crisis", "debts", "severe depression", "complete collapse", "everything goes to hell". Conclusions: Important life events for a person are rather negatively assessed events, as well as events associated with stress, rather than positively assessed events.

EPP0491
The prevalence of subclinical ADHD and its associations with mental health and academic attitudes B. Gács 1 * and I. Greges 2 Introduction: ADHD has been studied less extensively in adults than in children over the years, even though the indications of it clearly affect academic attitudes and closely linked to depression and substance abuse. Objectives: Exploratory cross-sectional research was conducted to examine the prevalence of subclinical ADHD is among medical students and its correlations with substance abuse. Furthermore, our goal was to find psychological and academic mediating variables, that might be risk or protective factors of its occurrence. Methods: A total of 239 (69 male) medical students were screened by an online questionnaire using Adult Self-Report Scale (ASRS), Depression, Anxiety and Stress Scale-21 (DASS-21), Maslach Burnout Inventory-Student Version (MBI-SS), Utrecht Work Engagement Scale for Students (UWES-S) and CAGE Questionnaire, which included smoking, alcohol, stimulant and sedative use. Results: Problematic substance use was reported by 48% of medical students for alcohol use, 43% for smoking, 25% for stimulant use and 21% for sedative use. The prevalence of ADHD symptoms is relatively high among medical students (m=36.13). Correlation and linear regression analysis showed a strong association between ADHD symptoms, depression, and substance abuse. The prevalence of subclinical ADHD symptoms mediates the relationship between depression and substance use, such as alcohol and stimulant use, but there is no significant relationship between academic attitudes (engagement and burnout) and ADHD symptoms, except for depersonalization, which was found to be a risk factor for the development of alcohol and stimulant use.